Family Management in Caring for Older Persons with Dementia
Keywords:
Older Person, Dementia, Symptom Perception, Family Management, Grounded Theory StudyAbstract
This grounded theory study aimed to explore the phenomenon of family management in caring for older persons with dementia. The informants were 60 family caregivers from 49 families. Data were collected through in-depth interviews and observations. Data were analyzed using the constant comparative analysis method. Family management in caring for older persons with dementia is the process where families manage care based on their perceptions regarding symptom changes of older persons with dementia. Those can be divided into 4 phases. Phase 1 is the early stage of changes where management is based on suspicion. Phase 2 is the progressive stage where changes are monitored accordingly to the risks. Phase 3 starts when coping with both mind and body challenges becomes a serious issue. And phase 4 is the downing stage when caregivers must prepare minds and families to face the loss.
Findings suggested that the family management process in caring for older persons with dementia varies based on symptom changes and family management within each phase. Factors related to management in each phase play important roles resulting in positive and/or negative outcomes of each phase throughout the process.
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